Revenue Cycle Specialist II - Medicare

Are you a highly skilled Revenue Cycle Specialist with experience in Medicare billing and reimbursement? Do you thrive in a fast-paced, dynamic healthcare environment? If so, we have an exciting opportunity for you at Cedars-Sinai Medical Center. As a Revenue Cycle Specialist II for our Medicare division, you will play a crucial role in ensuring accurate and efficient billing processes, ensuring timely reimbursement for services rendered. Join our team of dedicated professionals and make a difference in the lives of our patients.

1. Accurately review and analyze Medicare billing claims to ensure compliance with regulations and guidelines.
2. Communicate and collaborate with healthcare providers, insurance companies, and patients to resolve billing discrepancies and denials.
3. Stay up-to-date on Medicare billing and reimbursement policies and procedures.
4. Utilize electronic billing systems and software to process claims and track reimbursements.
5. Conduct thorough research and investigations on complex billing issues.
6. Prepare and submit appeals for denied claims and provide necessary documentation.
7. Work closely with the revenue cycle team to ensure timely and accurate billing processes.
8. Monitor and report on key performance indicators to identify areas for improvement and implement solutions.
9. Train new team members on Medicare billing processes and procedures.
10. Maintain confidentiality and adhere to HIPAA regulations in all aspects of job duties.
11. Serve as a liaison between different departments to ensure effective communication and problem-solving.
12. Participate in departmental meetings and provide insights and suggestions for process improvement.
13. Proactively identify and report potential compliance concerns.
14. Provide exceptional customer service to patients and internal stakeholders.
15. Demonstrate a commitment to continuous learning and professional development in the field of Medicare billing and reimbursement.

According to JobzMall, the average salary range for a Revenue Cycle Specialist II - Medicare is $45,000-$70,000 per year. This can vary depending on factors such as location, experience, and specific job duties.

Cedars-Sinai Medical Center is a non-profit, tertiary 886-bed hospital and multi-specialty academic health science center located in Beverly Grove in the Mid-City West area of Los Angeles, California.